Individual
DR. KELLY BERK DEETER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2300 SW 29TH, TOPEKA, KS 66611-1739
(785) 267-6120
Mailing address
2300 SW 29TH, TOPEKA, KS 66611-1739
(785) 267-6120
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4522
KS
Other
Enumeration date
08/02/2005
Last updated
07/08/2007
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